# EYESIGHT OPHTHALMOLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EyeSight Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093810830
- **Authorized official:** DR. NICHOLAS A STATHOPOULOS M.D. (PRESIDENT)
- **Authorized official phone:** (716) 517-0680

## Contact information

- **Practice address:** 4041 DELAWARE AVE, SUITE 100, TONAWANDA, NY 14150-6850
- **Practice address phone:** (716) 837-5200
- **Practice address fax:** (716) 837-8750
- **Mailing address:** 4041 DELAWARE AVE, SUITE 100, TONAWANDA, NY 14150-6850
- **Mailing address phone:** (716) 837-5200
- **Mailing address fax:** (716) 837-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 205998 | NY | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 04/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00603329 | — | NY |